Organization Active NPI

GM Rehab Services LLC

  • Occupational Therapist
  • Fair Lawn, NJ
National Provider Identifier
1912572017
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GM REHAB SERVICES LLC
Practice address
12-45 River Rd # 317
Fair Lawn, NJ 07410-1812
Phone
(862) 684-1789
Fax
(201) 797-0410
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George MwangiNPI 1114951464
Title
Ceo
Phone
(862) 684-1789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

12-45 River Rd # 317
Fair Lawn, NJ 07410-1812

Mailing address

12-45 River Rd # 317
Fair Lawn, NJ 07410-1812
Phone (862) 684-1789

Other names 1

  • GM Rehab Services LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
G M Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12-45 River Rd
#317
Fair Lawn, NJ 07410
Phone (862) 684-1789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1912572017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-45 RIVER RD # 317",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101812",
            "telephone_number": "862-684-1789",
            "fax_number": "201-797-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-45 RIVER RD # 317",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101812",
            "telephone_number": "862-684-1789",
            "fax_number": "201-797-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-684-1789"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GM Rehab Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.